Saturday, March 2, 2013

More on Diabetes Being Misunderstood

Again thanks to the most recent issue of Primary Care Medical Abstracts, I learned of a study of screening for adult-onset (Type 2) diabetes that further stresses the position I have been arguing for here for a good while, that it's basically a misunderstanding of the disease to imagine that the answer is better control of blood sugar. The study in question is by a group at Cambridge, UK headed by Rahman:http://link.springer.com/article/10.1007/s00125-011-2441-9/fulltext.html

The question Dr. Rahman and colleagues set out to answer, using a large population cohort that they followed for 12 years, is how much earlier you learned somebody had diabetes if you did population screening for the disease, rather than waiting for symptoms to develop that led the individual physician to do the tests that led to the diagnosis. The authors concluded that you "gained" 3.3 years through population screening. As all these people (being Brits) had good access to care by their general practitioners, who were informed of screening results, the mantra that we all devoutly believe, that early diagnosis is always better, would lead you to expect that those whose diabetes was detected by early screening would do better than the comparison group who were diagnosed only through actual symptom development.

And you'd be wrong, as the study showed no differences in a large number of important complications of diabetes.

Dr. Rahman and colleagues conclude that there is at this time no good evidence for population screening of asymptomatic patients, which happens to be what the U.S. Preventive Services Task Force had already concluded based on other evidence. The point I want to draw is somewhat different. If our old model of diabetes as a disease of out-of-control blood sugar, which should be made better (and complications prevented) by tight control of blood sugar, were valid, then we'd expect screening to be effective in delaying the onset of complications. The fact that screening had no measureable effect is just one more bit of evidence that the old model is flawed.

If the old model is flawed, why does it remain so influential? Well, the old model sells drugs and devices (specifically, all the test strips for those nice glucose monitors that are so heavily advertised on TV). So long as so much money can be made from the incorrect model of diabetes, don't expect that those who control the airwaves are likely to work to educate us on a better model.

6 comments:

Anonymous
said...

Hold down an app for a second, and start turning off all the apps that you aren't using by pressing the "minus" button. Hold your device on end to locate two small screws on either side of the dock. If a LED is used instead of a bulb, the connections will require a bit more attention.

Tennis balls, wiffle balls, ping pong balls, and golf balls can also be used.Naturally the ideal situation is to be able to lose weight really fast with a little amount of discomfort. In our next article, we'll be tackling using SNES4i - Phone to do exactly that - play those old favorites, like Chono Trigger, Super Ghouls and Ghosts, or even Super Mario Bros 3.

It's appropriate time to make some plans for the long run and it's time to be happy.I've read this put up and if I may just I desire to recommend you some attention-grabbing issues or tips. Perhaps you can write next articles relating to this article. I wish to read even more issues about it!

1. Spend some time to design a good-looking 404 page, site offline page, etc.This is what professionals do. Out of those 6 keywords, further reduce the number of keywords. If you simply copy the original manufacturer's description, you don't add value to your product and you certainly don't add your personal touch that can make you stand out from your competitors. The algorithms are not known publicly, but one thing is certain, is the search engine websites that the information is relevant to the purpose of the preferred site. Some SEO firms focus on content spinning and submitting articles. The thing that needs to be emphasized is to create text of your website in such a way that the algorithms find them easily. Make buying easy for the customer and they will return often. People these days use the Internet for a varied purpose. Search engine optimization is necessary for online businesses because it lets your website get found. Don't Forget to Replace the Default Favicon with Your Logo. Now, if it takes you three years to referrer 3000 members which means that you receive US$3000 per month.

An SEO strategy should combine a number of elements that work together to get results for you.Once you find the right and affordable SEO Company, it is essential to talk about your business objectives, target customers and future goals with the professionals to help them develop their strategies accordingly.Originally posted at: digitalmoz. In fact, soon, not using RDFa could put a site at a disadvantage. You will not even get to a 1 or 2 until Google has fully crawled your website or blog enough to give it a ranking. You need the keyword and phrase in both title and description. com is one of the premier portals on the World Wide Web which has been formulated with the intention of providing SEO Hosting options for webmasters around the world who seek a way to ensure that their websites reach the top ranks of all major search engines.